VIVIAN HA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002282

License Status

ACTIVE

Business

Title

DMD

First Name

VIVIAN

Last Name

Business Name

VIVIAN HA DMD

Original Issue Date

06/27/2024

Effective Date

07/01/2024

Expiration Date

05/15/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

06/27/2024